If you are an international applicant (except Canada), leave the "State" field blank.

*Zip/Postal Code:

*Country:

*Daytime Telephone:

Evening Telephone:

Fax:

*E-mail:

Tuition

Course tuition is $529. Hospital residents, fellows, physician assistants, retirees and registered nurses qualify for a discounted tuition of $349. A letter of verification from your department chair will be required to receive discounted tuition.

*I am a:

Housing Options

Meals and lodging are available at the College for registrants and their family members. Costs per individual for the duration of the course are listed below.

*I plan to stay:

I plan to bring my:

Spouse - $252

Children:
girl(s) age 3-9 - $149 each
girl(s) age 10-16 - $189 each
boy(s), age 3-9 - $149 each
boy(s), age 10-16 - $189 each

other adults, age 17+ (in same room) - $252/each

other adults, age 17+ (separate room) - $315/each

Lobster Dinner

A Downeast Lobster Bake will be held during this program and is included for on-campus participants.

Dinner Options:Lobster:

Cost for off-campus participants is $36 per person.

Steak:

Cost for off-campus participants is $28 per person.

Vegetarian:

Cost for off-campus participants is $28 per person.

Total(Tuition, Meals and Lodging):

Additional Comments

Please enter any additional comments that you think we should know about your registration.

Billing Information

*Amount to Pay Today:

$100 deposit

Total:

Balance to Pay:

A $50 processing fee will be retained if notice of cancellation is received after two weeks prior to start of program. No refunds for non-cancellations.

Colby College admits registrants to any program without regard to race, religion, nationality, ethnic origin, age, sex, or handicapped status. Persons needing special assistance should contact the Special Programs office.

To pay an outstanding balance, please return to the registration form and re-enter your information.